الفهرس 
Surgical anatomy of the veins of the lower limbOnly 14 pages are availabe for public view
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Abstract
Varicose vein means elongated tortuous pouched out thickened inelastic and friable veins due to
continuous dilatation under pressure. The vein loses permanently its valvular efficiency with
distension and dilatation especially in the erect position. This exaggerates its valvular
incompetence (Anderson and Scott, 1985).
Varicose veins and their complications are a common problem specially seen in the Western people,
probably one in five females and one in fifteen males over the age of 40 years have them (I 0-17%).
Because the aetiology is not known there is no prevention and. with great longevity and increasing
age the population of the problem is steadily rising. The incidence of venous diseases increases as
native populations are exposed to Western civilization (Hobbs, 1995).
Although primary varicose veins have been recognized for hundreds of years and attempts at
treatment were initially made 3000 years ago in Ancient Egypt and later by Hippocrates, Celsus and
Galen in Ancient Greece. Surgical techniques are still not be regarded as being standardized. This
is reflected in the diversity of surgical methods adopted and in
the continuity quest for improved techniques (Agrifoglio and •I
Trezzi, 1995).